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* 1. County?

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* 2. County Contact Information?

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* 3. County HHS Budget?

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* 4. Staff Size?

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* 5. Funding Sources: General Funds v. Grants Percentage

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* 6. Population of County?

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* 7. County HHS Programs

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* 8. For all boxes checked above, for each program please provide details

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* 9. IdentifyAnnual Grant Funding County Receives

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* 10. Identify Grant Funding in Danger of Being Eliminated

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